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Feasibility of transoral robotic-assisted supraglottic laryngectomy

✍ Scribed by Eran E. Alon; Jan L. Kasperbauer; Kerry D. Olsen; Eric J. Moore


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
284 KB
Volume
34
Category
Article
ISSN
1043-3074

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✦ Synopsis


Abstract

Background

We aimed to describe our experience with transoral robotic‐assisted supraglottic laryngectomy.

Methods

We retrospectively reviewed the records of patients who underwent transoral robotic‐assisted supraglottic laryngectomy at our institution between May 2007 and November 2008.

Results

During the study period, 7 patients with malignancy underwent the procedure (4 men, 3 women; average age, 61 years). All tumors were completely resected, with clear margins on pathologic analysis. Six patients underwent neck dissection at the time of transoral surgery. One intraoperative complication occurred: thermal injury to the anterior cervical skin. Four patients underwent primary tracheotomy tube placement, 3 of whom were decannulated without difficulty. Two patients required long‐term gastrostomy tubes while receiving adjuvant radiotherapy.

Conclusions

Supraglottic malignancies can be successfully resected transorally with robotic assistance. The potential benefits of this method are improved access and visualization. Further long‐term follow‐up is needed to compare oncologic and functional outcomes with those of current approaches. © 2011 Wiley Periodicals, Inc. Head Neck, 2012


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